Evidence map›Paper›PMID 41146285›Full record

ArticleTrials2025

Efficacy of Diet on Quality of life in Multiple Sclerosis (EDQ-MS): a study protocol for a randomized controlled clinical trial.

Farnoosh Shemirani, Anna M Klein, Allison R Groux, Rachael Kilpatrick, Lisa Brooks, Mary A Ehlinger, Warren G Darling, Vincent A Magnotta, Christine M Gill, Karin F Hoth and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05007483 (Efficacy of Diet on Quality of Life in Multiple Sclerosis), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05007483 naactive not recruitingnot on this map

Efficacy of Diet on Quality of Life in Multiple Sclerosis

TypeinterventionalSponsorTerry L. WahlsRan2022 to 2026Enrolled162ConditionsMultiple Sclerosis, Relapsing-RemittingArmsBodyBio Balance Oil, Kirunal Fish Oil, BodyBio PC, Modified Paleolithic Elimination diet, Time Restricted Olive Oil Based (TROO) Ketogenic Diet
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Farnoosh ShemiraniDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Anna M KleinDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Allison R GrouxDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Rachael KilpatrickDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Lisa BrooksDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Mary A EhlingerDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Warren G DarlingDepartment of Health and Human Physiology, University of Iowa, Iowa City, IA, USA.
Vincent A MagnottaDepartment of Radiology, University of Iowa, Iowa City, IA, USA.
Christine M GillDepartment of Neurology, University of Iowa, Iowa City, IA, USA.
Karin F HothDepartment of Psychiatry, University of Iowa, Iowa City, IA, USA.
Ashutosh MangalamDepartment of Pathology, University of Iowa, Iowa City, IA, USA.
Patrick Ten EyckInstitute for Clinical and Translational Science, University of Iowa, Iowa City, IA, USA.
Arturo S MartinezDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Jordan HookDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Tyler J Titcomb *Department of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Linda G Snetselaar *Department of Epidemiology, University of Iowa, Iowa City, IA, USA.
Terry L Wahls *Department of Internal Medicine, University of Iowa, Iowa City, IA, USA. terry-wahls@uiowa.edu.ORCID http://orcid.org/0000-0001-6059-7994

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
University of Iowa Institute for Clinical and Translational ScienceUM1TR004403 · NCATS · UNIVERSITY OF IOWA · PI Marlan R Hansen, Patricia Winokur · 2023 to 2026
$16.1M
Iowa Medical Student Summer Research Program in trans-NIDDK ResearchT35DK135446 · NIDDK · UNIVERSITY OF IOWA · PI ROBERT D ROGHAIR · 2023 to 2026
$418k
Carter Chapman Shreve Fellowship 30578009NCATS NIH HHS UM1 TR004403NIDDK NIH HHS T35 DK135446NIEHS NIH HHS P30 ES005605Wahls Therapeutic Lifestyle Fund 30578010
6 · The paper itself

Abstract

backgroundThe primary objective of this study is to evaluate the efficacy of two dietary interventions, time-restricted olive oil-based (TROO) ketogenic and modified Paleolithic elimination (MPE), compared to usual care control group receiving Dietary Guidelines for Americans (DGA) resources, on quality of life (QoL) among individuals with relapsing-remitting multiple sclerosis (RRMS). The secondary objectives are to evaluate the long-term effects on functional disability, fatigue, mood, motor, ocular and cognitive function, and disease activity.

methodsThe proposed study will consist of 162 study participants attending 3 in-person site visits at months 0, 3, and 24, with online surveys every 3 months. This study will use a randomized, single-blind, controlled design to investigate the short-term (6 months) and long-term (24 months) efficacy of intervention diets on QoL and related outcomes stated above. On-site study visits will include motor, ocular and cognitive function, as well as magnetic resonance analyses. Blood and saliva biospecimens will be collected and frozen for future metabolome and microbiome analyses, respectively. Participants assigned to TROO keto and MPE diets will be given diet-specific educational materials and dietary supplements. Usual care control group will be given DGA resources and monthly educational resources. Dietary assessments will be collected by the Diet History Questionnaire III (DHQ III) at months 0, 3, 12 and 24. Registered Dietitian Nutritionists (RDNs) will deliver the dietary intervention to the TROO and MPE groups, using Social Cognitive Theory (SCT), Self-Determination Theory, and Motivational Interviewing (MI) techniques to facilitate effective behavior change. DISCUSSION: There is an unmet need for rigorous randomized controlled trials to assess the efficacy of dietary interventions on MS-related symptoms and disease activity. The findings from this study will provide necessary information regarding the role of specific dietary interventions in MS care.

trial registrationClinicalTrials.gov, NCT05007483. Registered on August 16, 2021. https://clinicaltrials.gov/study/NCT05007483 .

Indexed as

Diet, KetogenicMultiple Sclerosis, Relapsing-RemittingQuality of LifeAdultCognitionFemaleHumansMaleRandomized Controlled Trials as TopicSingle-Blind MethodTime FactorsTreatment OutcomeKetogenic dietModified paleolithic elimination dietMultiple sclerosisQuality of lifeTime-restricted feeding

Identifiers

PMID41146285
PMCPMC12557952

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.